Individual
MRS. PATRICIA K BROUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4499 MEDICAL DR STE 140, SAN ANTONIO, TX 78229-3711
(210) 692-0831
(210) 692-9202
Mailing address
4499 MEDICAL DR STE 140, SAN ANTONIO, TX 78229-3711
(210) 692-0831
(210) 692-9202
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H2265
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033130801
—
TX
01
—
H2265
TX ST BOARD OF MED EXAM
TX
Enumeration date
09/11/2006
Last updated
05/09/2022
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